Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11203 | Date 28/06/2022 |
| Token No | SM/25-26/5667 04/09/2025 | Serial | 017 Last Visit: 18/09/2025 |
| Patient Name | Mrs. KRISHNA CHAKRABORTY | Contact No | 8013551486 |
| Address | 17/A CHATRA CHOWDHURY PARA BYE LANE | Age | 71 Years,8 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44.6 KG |
| Pulse Rate | / min | Height | 153.6 cm BMI: 18.903944 |
| Diagnosis | |||